What is this form for?

This form is a subpoena that asks health care entities to provide medical records for a legal case.

What if I want to object to this subpoena?

The person whose records are being requested has the right to file a motion to quash (object to) the subpoena. This motion must be filed within 15 days of the date on the subpoena.

DC-350

Notice to Health Care Entities- Subpoena Duces Tecum for Medical Records

Virginia · Supreme Court of Virginia

This form is a legal request, called a subpoena, that asks health care places to provide medical records. It also tells the person whose records are being asked for that they have the right to object to this request by filing a motion to quash.

Open the official PDFfrom Supreme Court of Virginia

Where this fits in a case

Discovery

Start a case
Respond
Motions
Discovery
Hearing
Judgment
After judgment
Appeal

Stage: Discovery

This form is used in a legal case to formally request medical records from a health care entity. The person whose records are being requested or their lawyer must be given a copy of this subpoena.

Usually filed by the person starting the case.

Official instructions

How-to guides published by the court for this form.

Instructions

Common questions

What is this form for?: This form is a subpoena that asks health care entities to provide medical records for a legal case.
What if I want to object to this subpoena?: The person whose records are being requested has the right to file a motion to quash (object to) the subpoena. This motion must be filed within 15 days of the date on the subpoena.

Revision history

No changes recorded since we started tracking this form on October 10, 2026.

Related forms

CC-1342
Subpoena for Witness
This form is a legal order that tells a person to show up in court to give testimony. It directs the person to appear on a specific date, time, and location for a criminal case.
Fillable PDF1 translation
Discovery
DC-3000
Subpoena Duces Tecum (Criminal) – Attorney Issued
This form is a Subpoena Duces Tecum used in criminal cases. It is a legal order that tells a person they must appear in court and bring specific items with them.
Fillable PDF
Discovery
DC-325
Request for Witness Subpoena
This form is used to ask the court to officially ask witnesses to appear at a hearing or trial. It requires listing the names and addresses of the people who need to be subpoenaed.
Fillable PDF
Discovery
DC-326
Subpoena for Witnesses
This form is a legal document used to officially ask witnesses to appear in court to give testimony. It records who is being asked to come, where, and when they need to be there.
Fillable PDF
Discovery
DC-336
Subpoena Duces Tecum
This form is a request to the court to issue a subpoena duces tecum, which is a legal order asking someone to bring specific items or documents to court. It also includes sections for the court to issue the actual subpoena and for parties to return proof of service.
Fillable PDF
Discovery
DC-348
Notice to Individual - Subpoena Duces Tecum for Medical Records
This notice informs an individual that a subpoena has been issued to their doctor or health care provider, requiring the release of the person's health records. It also informs the person of their right to file a motion to stop the records from being released.
Fillable PDF
Discovery
CC-1201
Petition for Sealing Pursuant to Va. Code §19.2-392.12
This form is a request to the court to seal criminal history records and court documents related to a specific charge or conviction. It asks the filer to provide personal details and detailed information about the charge, the conviction, and whether they meet certain eligibility requirements.
Fillable PDF
Start a case
CC-1201(A)
Addendum to Petition for Sealing Pursuant to Va. Code §19.2-392.12
This form allows a person to add more information to a request to seal criminal records. It asks for details about other charges, convictions, or related matters that the person wants the court to seal.
Fillable PDF
Start a case